Combined Cataract Surgery and Planned Descemetorhexis

Combined Cataract Surgery and Planned Descemetorhexis

A pilot study designed to assess the feasibility of planned descemetorhexis for the treatment of Fuchs' corneal dystrophy.

General Inclusion Criteria:

• Patient >18 years old
• Willing and able to provide informed consent

Ocular Inclusion Criteria (all ocular inclusion criteria apply only to the study eye):

• Fuchs' corneal dystrophy diagnosed
• Cataract present
• Best corrected visual acuity ≤ 20/40
• Candidate for current endothelial transplant procedure (DSAEK, DMEK)

General Exclusion Criteria:

• <18 years old
• Medically unstable patient
• Monocular patient
• Unwilling or unable to provide informed consent

Ocular Exclusion Criteria (all ocular exclusion criteria apply only to the study eye):

• Corneal dystrophy other than Fuchs'
• Central corneal scar or central opacity not related to Fuchs'
• Severe nonproliferative diabetic retinopathy or proliferative diabetic retinopathy
• History of prior vitreoretinal surgery
• Advanced or unstable glaucoma
• Known steroid responders with glaucoma